Top 16 Claims lead Jobs in Memphis, Tn

Workforce Absence Team Lead
Sedgwick —Memphis, TN
- Hybrid work
- 6 years
- Computer literacy
- Writing skills
- Health savings account
- Disability insurance
6d
(USA) Member Team Lead
Sam's Club —Memphis, TN
- $21 - $29 an hour
- 18 years or older
- High school
- Merchandising
- Paid jury duty
- Disability insurance
13d
Site Leader
Glide Xpress Car Wash —Memphis, TN
- $50,000 - $55,000 a year
- Weekends as needed
- Mid-level
- Recruiting
- In-person
- Paid training
- Dental insurance
Quick Apply
Lead Wheelchair
Menzies Aviation —Memphis, TN
- Overtime
- Background check
- 18 years or older
- Ability to walk for extended periods
Lead Charge Master, Revenue Integrity Analyst (Pharmacy)
Regional One Health —Memphis, TN
- Full-time
- Research
- Bachelor's degree
- Mentoring
Lead Pharmacist, Pharmacy Supply Chain
Regional One Health —Memphis, TN
- Full-time
- Hospital
- Customer service
- Data analysis skills
- Employee discount
Religious Leader - Muslim (Corrections)
Shelby County Government —Memphis, TN
- Full-time
- Background check
- Microsoft Excel
- Mid-level
- Military leave
Pharmacist-Lead Outpatient
Baptist Memorial Health Care —Memphis, TN
- Hospital
- Computer literacy
- Bachelor of Science
- Continuing education credits
Lead Event Specialist Part Time
Product Connections —Bartlett, TN
- $15 an hour
- Part-time
- Serving
- Computer literacy
- Mid-level
Quick Apply
Crew Leader (Crew Foreperson)
Lewis Services —Memphis, TN
- Full-time
- Ability to lift 50 pounds
- Communication skills
- Paid training
- Health savings account
2h

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claims lead jobs near memphis, tn

Workforce Absence Team Lead

Sedgwick -
Memphis, TN

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Job Details

6 days ago

Benefits

Health savings account
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Optimizing workflow processes
Performance reviews
Appeals
Computer operation
Staff supervision
Customer relationship building
6 years
Team supervision
Computer literacy
Writing skills
Client relationship development
Trend analysis
Quality control audit
Team development
Hiring
Recruitment and selection
Employee attendance management
Analysis skills
Professional development support
Bachelor's degree
Staff policy implementation
Decision making
Team training
Quality compliance management
Client management
Coordinating with insurance clients
Desktop applications
Data interpretation
Recruiting
Organizational skills

Full Job Description

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies

Certified as a Great Place to Work®

Fortune Best Workplaces in Financial Services & Insurance

Workforce Absence Team Lead

Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:

Dubuque, IA : 4141 Westmark Drive, Dubuque, IA 52002

Dublin, OH : 5500 Glendon Court Dublin OH 43016

Indianapolis, IN: 8909 Purdue Road Suite 501 Indianapolis, IN 46268

Irving, TX : 2201 W. Royal Lane Suite 125 Irving, TX 75063

Memphis, TN : 8125 Sedgwick Way, Memphis TN 38125

Orlando, FL : 12650 Ingenuity Dr Orlando FL 32826

PRIMARY PURPOSE : To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

Supervises multiple teams of examiners and/or several technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.
Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office.
Provides technical/jurisdictional direction to examiner reports on claims adjudication.
Compiles, reviews, and analyzes management reports and takes appropriate action.
Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards.
Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal.
Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner.
Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client.
Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client.
Assures that direct reports are properly licensed in the jurisdictions serviced.
Ensures claims files are coded correctly and adequate documentation is made by claims examiners.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

Performs other duties as assigned.
Supports the organization's quality program(s).

SUPERVISORY RESPONSIBILITIES

Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
Interviews, hires, and establishes colleague performance development plans; conducts colleague performance discussions.
Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS

Education & Licensing
Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certifications as applicable to line of business preferred.

Experience
Six (6) years of claims experience or equivalent combination of education and experience required. Two (2) years of claims supervisory experience preferred.

Skills & Knowledge

Thorough knowledge of claims management procedures and processes for disability
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Leadership/management/motivational skills
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Excellent negotiation skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical : Computer keyboarding, travel as required

Auditory/Visual : Hearing, vision and talking

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $55,00.00 - $65,000.00 USD Annual. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

Apply Now

Refine Your Search

claims lead jobs in memphis, tn

Workforce Absence Team Lead

(USA) Member Team Lead

Site Leader

Lead Wheelchair

Lead Charge Master, Revenue Integrity Analyst (Pharmacy)

Lead Pharmacist, Pharmacy Supply Chain

Religious Leader - Muslim (Corrections)

Pharmacist-Lead Outpatient

Lead Event Specialist Part Time

Crew Leader (Crew Foreperson)

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